Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM RYNEARSON ANTONELL, LICSW
Active Sole ProprietorKIM RYNEARSON ANTONELL, LICSW is a Clinical Social Worker healthcare provider located in WAYLAND, Massachusetts. NPI 1801361548 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WAYLAND, MA
Registration Details
- NPI Number
- 1801361548
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2018 (7.8242071814498 yrs)
- Last Updated
- Oct 9, 2018
- License
-
105350 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 WILDFLOWER LNWAYLAND, MA, 017782332Browse MA providers · Browse ZIP 01778
- Phone
- 5085619002
- Fax
- 5083584773
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WAYLAND, MA
| Name | Credential | NPI |
|---|---|---|
| ANNE MOSELEY-WISS | LICSW | 1932138054 |
| MS. MIMI SOHN LICHT | LICSW, BCD | 1700811528 |
| NANCY C FOSTER | LICSW | 1700930369 |
| ANDREW WARD | LICSW | 1841328630 |
| RUTH S BUDNER | M.S. | 1730396383 |
| MRS. DIANE BETH HOMER | LICSW | 1013116797 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.